1. QOF project on Dementia
By Raheela and Kanwal
August 2015

2. Dementia QOF indicators
Care plan review every 12 months
New diagnosis of dementia
FBC, calcium, glucose, renal and liver function, vitamin B12 and folate recorded within 6m

3. Aims and Objectives For all dementia reviews Face to face
In a timely manner throughout the year.
To devise a system which would work every year
To be able to complete advance care plans DES (Direct Enhanced Services)

4. Methods and Results System one search march 2015
Total 80 patients on dementia register
66/80 = 83% patients had dementia review completed

5. Methods and Results continued…..
Last year the majority of the reviews took place between October 2014 and March 2015 (66%)

6. So what did we do…..
Set up a dementia recall-added on to all 80 patients, 8 per month so all reviews done by January the following year
Standard letter devised stating dementia review now due
Monthly search which would identify those that are due for a dementia review and letter sent out appropriately, visits for housebound and nursing home patients
ACP booklet discussed in practice meeting and agreed to be discussed at dementia review

7. Re-audit May 2015
12 patients (15%) had already had their face to face dementia review in comparison to 3 patients (3%) last year within this time frame.

8. Conclusion
Better Service: Good quality reviews with advanced care plans in place
Less stress: Reviews done in a more timely manner throughout the year rather than MAD RUSH at the end of QOF year
Practice: Good for CQC